便携式下肢手术支架及在胫骨交锁髓内钉固定中的应用  

Development and Application of Portable Bracket of Lower Limb in Operation of Tibia Interlocking Intramedullary Nail

作　　者：郭志民[1] 练克俭[1] 丁真奇[1] 林山[1] 林斌[1] 庄泽民[1] 郭林新[1] 

机构地区：[1]解放军第175医院,福建漳州363000

出　　处：《医疗卫生装备》2008年第11期61-62,共2页Chinese Medical Equipment Journal

基　　金：南京军区医药卫生科研基金课题(07M066)

摘　　要：目的:针对胫骨交锁髓内钉内固定术操作中存在的问题,研制出便携式下肢手术支架并应用于该手术操作中。方法:便携式下肢手术支架由组合在一起的2块杉木板和支撑结构组成,可调节支架的高低和所需要的膝关节屈曲角度;术前高压消毒,术时展开将患肢放在上方,完成胫骨交锁髓内钉手术。结果:便携式下肢手术支架应用在胫骨交锁髓内钉固定术中,手术操作及X线透视无需专人抬腿,节省了人力,减少医源性创伤,有利于骨折愈合,避免了医护人员的辐射损伤。结论:便携式下肢手术支架应用于胫骨交锁髓内钉固定术中,具有制作方法简单,成本低廉,节省人力、手术更微创和减少辐射损伤等优点。Objective To develop and apply portable bracket of lower limb in operation of tibia interlocking intramedullary nail. Methods Portable bracket of lower limb is composed of two fir panels and support structure. The level of support and the knee flexion is controlled with it. It is used in preoperative high-pressure disinfection, and then trouble limb is placed on the bracket to complete operation of tibia interlocking intramedullary nail. Results The applications save labor, reduce iatrogenic injury, make for union of fracture and avoid radiation damage of staff. No one is used to lift up leg in operation procedure and X-ray examination.Conclusion Potable bracket of lower limb has advamages in simple production, low cost, labor-saving, minimally invasive surgery wound and so on.[Chinese Medical Equipment Journal,2008,29（11 ）：61-62]

关 键 词：便携式下肢手术支架 胫骨干骨折 交锁髓内钉 

分 类 号：R687.3[医药卫生—骨科学]